Femsport Entry Form - Spruce Grove, AB

SPRUCE GROVE CHALLENGE
Sat., July 21st, 2018

JUBILEE PARK
(north parking lot)
510 Grove Dr., W Spruce Grove, AB
--------------------------------------------------------------------------------------

EARLY BIRD: $115	REGULAR: $125	LATE: $150
Before May 21st, 2018	After May 21st, 2018	Day prior to event

YOUR NAME:

First Name Last Name

E-MAIL *

PHONE NUMBER: *

MAILING ADDRESS: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

AGE (must be 19+) *

DIVISION: *

ARE YOU ON A TEAM? *

Yes No

TEAM NAME: *

Team Mate #1 *

First Name Last Name

Team Mate #2 *

First Name Last Name

Are you REPLACING a PRE-ENTERED ATHLETE? *

Yes No

Who are you replacing? *

First Name Last Name

In order to confirm your entry and keep you posted on event details and information, please click the "PERMISSION TO EMAIL" box below.
You may opt out at any time.

PERMISSION TO EMAIL *

Yes

HOW DID YOU HEAR ABOUT FEMSPORT? *

Website Facebook Twitter Newspaper Magazine Fitness Facility Friend Email (newsletter)

EARLY BIRD: $115	REGULAR: $125	LATE: $150
Before May 21st, 2018	After May 21st, 2018	Day prior to event

REGISTRATION FEES ARE NON-REFUNDABLE...NO EXCEPTIONS!!

All entries received after capped amount will be placed on a waiting list and ONLY these entries will be refunded if a spot does not become available.

ENTRY FORMS / FEES ARE NON-TRANSFERABLE...NO EXCEPTIONS!!

Entry forms and fees are specific to the event entered into and may not be transferred to another event.

ENTRY FEE PYMT (non-refundable) *

SPRUCE GROVE (Before May 21st, 2018) $ 115.00 CAD

SPRUCE GROVE (after May 21st, 2018) $ 125.00 CAD

SPRUCE GROVE (paid day before event) $ 150.00 CAD

Enter coupon

Subtotal $ 0.00 CAD Tax $ 0.00 CAD Total $ 0.00 CAD